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The Health Effects of the Abuse of Ketamine 氯胺酮滥用对健康的影响
Pub Date : 2018-12-31 DOI: 10.23937/ijda-2017/1710006
Maloney William J
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引用次数: 2
Effects of Non-Focused Elf-Emf Treatment on Hrv: Preliminary Study 非聚焦Elf-Emf治疗Hrv的初步研究
Pub Date : 2018-12-31 DOI: 10.23937/ijda-2017/1710005
Greco Alessandro, Destefani Anna
Background: The Autonomic Nervous System (ANS) is involved in the response to various emotional stimuli like anxiety, stress, and the sense of wellbeing. As a control system the ANS plays a variety of roles in humans, including regulation of the cardiac function, which can be studied by analyzing heart rate variability (HRV). HRV coherence has been associated with a sense of wellbeing, along with enhanced cognitive, social, and physical performance. Extremely low frequency electromagnetic fields (ELF-EMF) are used in a variety of clinical areas, however very little is known to date about the functional mechanisms involved in vivo . An interaction with the ANS is one of the possible ways in which the effects of ELF-EMF therapy are modulated in liv ing systems. ANS electromagnetic configurations meas uring the HRV using a HeartMath® EmWave® in age were recruited and divided into two groups (treatment group µ and control group λ). After measuring the baseline HRV coherence state (ω) the subjects in group µ were as sessed during administration of 5 different ELF-EMF configu rations from a SEQEX® device, all at the same intensity of 20 μT (the name attributed to the configuration is in brackets) for a duration of 3 min. each: 1-3 Hz (δ), 4-8 Hz (θ), 9-13 Hz (α), 15-29 Hz (β), and 31-56 Hz (γ). The subjects in group λ were measured in the same way and the same number of times. Results: The initial coherence values ω were comparable be tween the two groups (µ: 36%, λ: 36.39%). Under the 1-3 Hz (δ) and 15-29 Hz (β) treatment configurations, group µ had an average HRV coherence of 46.26% and 47.26% respec-tively, while group λ had 38.13% and 37.39% respectively, representing a significant increase in HRV coherence under treatment (p δ = 0.035 and p β = 0.046). Conclusions: The ANS appears to be sensitive in a frequency dependent manner to treatment with ELF-EMF. This is very important, if confirmed in further studies, not only for better understanding the mechanism of action of ELF-EMF on complex biological systems, but more impor tantly for therapeutic purposes under different levels of psy-chopathological discomfort like stress and anxiety, as well as for modulating perceived pain and organ dysregulation.
背景:自主神经系统(ANS)参与对各种情绪刺激的反应,如焦虑、压力和幸福感。作为一个控制系统,ANS在人体中发挥着多种作用,包括调节心功能,这可以通过分析心率变异性(HRV)来研究。HRV一致性与幸福感以及增强的认知、社交和身体表现有关。极低频电磁场(ELF-EMF)用于各种临床领域,但迄今为止对其在体内的功能机制知之甚少。与ANS的相互作用是在生命系统中调节ELF-EMF治疗效果的可能方式之一。招募使用HeartMath®EmWave®测量年龄HRV的ANS电磁配置,并分为两组(治疗组µ和对照组λ)。在测量基线HRV相干状态(ω)后,µ组的受试者在SEQEX®装置的5种不同的ELF-EMF配置中进行评估,所有配置的强度均为20 μT(配置的名称在括号中),持续时间为3分钟,每种强度为1-3 Hz (δ), 4-8 Hz (θ), 9-13 Hz (α), 15-29 Hz (β)和31-56 Hz (γ)。λ组的受试者以相同的方式和相同的次数进行测量。结果:两组的初始相干值ω具有可比性(µ:36%,λ: 36.39%)。在1-3 Hz (δ)和15-29 Hz (β)处理下,µ组的HRV相干度分别为46.26%和47.26%,λ组的HRV相干度分别为38.13%和37.39%,显著提高了HRV相干度(p δ = 0.035, p β = 0.046)。结论:ANS似乎以频率依赖的方式对低频电磁场治疗敏感。这是非常重要的,如果在进一步的研究中得到证实,不仅可以更好地了解ELF-EMF对复杂生物系统的作用机制,而且更重要的是在不同程度的精神病理不适(如压力和焦虑)下的治疗目的,以及调节感知疼痛和器官失调。
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引用次数: 2
Interventions for Mothers with Postpartum Depression: A Systematic Review 产后抑郁症母亲的干预措施:一项系统综述
Pub Date : 2018-12-31 DOI: 10.23937/ijda-2017/1710002
Thomas Linsu, G. Sailaxmi, Parel Jithin Thomas
Background and Aim: Women may go through a wide range of emotional experiences during pregnancy and the year following birth. In some cases it can result in depressive symptoms which need treatment and supportive interventions. Interventions like individual psychotherapy and counseling with an exploratory, participative approaches were most commonly practiced in low- and middle-income (LAMI) countries. The aim of this study is to investigate systematically the evidence surrounding the impact of such interventions on improving women and infant mental health in mothers with postpartum depression. Methods: Systematic review included twelve quantitative studies from different countries like America (4), Iran (3), Europe (2), India (1), Pakistan (1), and China (1). Socio-de-mographic characteristics of the study subjects, characteristics, type and components of the intervention, and recommendations were reviewed from the retrieved studies. Results: Mean depression prevalence among the postpartum mothers identified in different studies was 38.6%. In majority of the studies the main components the interventions dealt with were, infant and child care, breastfeeding, problem solving, use of play and quality time with the infant, immunization and contraception, psycho-education about the illness, role transitions to motherhood, sensory motor stimulation and ways to deal with practical issues. Conclusion: Majority of studies recommended for cost-ef-fective and accessible postnatal care as a routine, follow up practices through telephone, direct education to supporters of new mother, and ensuring the availability of community resources and manpower.
背景和目的:女性在怀孕期间和分娩后的一年可能会经历各种各样的情感经历。在某些情况下,它可能导致抑郁症状,需要治疗和支持性干预。以探索性、参与性方法进行个人心理治疗和咨询等干预措施在低收入和中等收入国家最为普遍。本研究的目的是系统地调查这些干预措施对改善产后抑郁症母亲的妇女和婴儿心理健康的影响的证据。方法:系统回顾了来自美国(4)、伊朗(3)、欧洲(2)、印度(1)、巴基斯坦(1)和中国(1)等不同国家的12项定量研究。从检索到的研究中回顾了研究对象的社会人口统计学特征、干预措施的特征、类型和组成部分以及建议。结果:不同研究中发现的产后母亲平均抑郁患病率为38.6%。在大多数研究中,干预措施涉及的主要内容是:婴儿和儿童护理、母乳喂养、解决问题、与婴儿玩耍和共度美好时光、免疫和避孕、关于疾病的心理教育、角色向母亲的转变、感觉运动刺激和处理实际问题的方法。结论:大多数研究建议将具有成本效益和可及性的产后护理作为常规,通过电话随访,对新妈妈支持者进行直接教育,并确保社区资源和人力的可用性。
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引用次数: 6
State and Trait Anxiety Evaluation in Dental Patients 牙科病人状态焦虑与特质焦虑的评估
Pub Date : 2018-12-31 DOI: 10.23937/ijda-2017/1710008
R. Hamid, V. S. M. Sepah, Zare Hadi, Sepahvandi Ali Mohammadi
Purpose: The purpose of this study was to evaluate the possible relation between dental patient’s state anxiety, demographic factors and past experience of treatments with their trait anxiety in patients undergoing root canal treatments (RCT). Materials and Methods: 60 patients participated in this study. A single molar was treated in every patient. At their first visit, patients were asked to fill out a questionnaire about their demographic and educational status as well as a Persian version of STAI-T (Spielberger Trait Anxiety In-ventory). At the second visit they filled out a STAI-S (Spiel berger State Anxiety Inventory) before going through the dental procedure. Results: Our results showed a significant correlation be tween state and trait anxiety (P = 0.001). We also found no significant correlation between age and state anxiety (P = 0.932). However, no significant difference was found nei ther between education and state anxiety (P = 0.78) nor between past RCT experience and state anxiety (P = 0.88). In addition, our analysis indicates no correlation between state anxiety and total number of injections (P = 0.68). According to the patient’s answers, the most stressful part of dental procedure was drilling (37%). Conclusions: Our results suggest that there is a relation between trait anxiety and state anxiety. Also, dental procedures are not a source of anxiety in patients with higher trait anxiety per se.
目的:本研究旨在探讨根管治疗患者的状态焦虑、人口学因素和治疗经历与特质焦虑的关系。材料与方法:60例患者参与本研究。每例患者只治疗一颗磨牙。在第一次就诊时,患者被要求填写一份关于他们的人口统计和教育状况的问卷,以及一份波斯语版的斯坦- t(斯皮尔伯格特质焦虑量表)。在第二次就诊时,他们在进行牙科手术之前填写了一份STAI-S (Spiel berger状态焦虑量表)。结果:状态焦虑与特质焦虑之间存在显著相关(P = 0.001)。年龄与状态焦虑无显著相关(P = 0.932)。然而,教育程度和状态焦虑之间没有显著差异(P = 0.78),过去的RCT经历和状态焦虑之间也没有显著差异(P = 0.88)。此外,我们的分析显示状态焦虑与注射总次数之间没有相关性(P = 0.68)。根据患者的回答,牙科手术中压力最大的部分是钻牙(37%)。结论:本研究结果提示特质焦虑与状态焦虑之间存在相关性。此外,牙科手术本身并不是高特质焦虑患者焦虑的来源。
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引用次数: 4
Sleep Quality in Osteoporotic Elderly: Relationship to Pain Sensitıvity and Depression 骨质疏松老年人的睡眠质量:与疼痛Sensitıvity和抑郁的关系
Pub Date : 2018-12-31 DOI: 10.23937/ijda-2017/1710009
M. Aksoy, İ. Karlıbel, S. Dülger, L. Altan
Objective: The objective of the current study was to assess the impact of sleep quality on pain sensitivity and depressive symptoms in the elderly. Material-method: In this cross-sectional analytical design study a total of 78 patients (65-85 years) with good general health status and 44 young (30-50 years) healthy volunteers were included. All subjects assessed by Pittsburg sleep quality index (PSQI), pain pressure threshold (PPT) and geriatric depression scale (GDS). Results: In geriatric subjects, components of PSQI were significantly higher (p < 0.05) as compared to controls, indicating bad sleep components in geriatric subjects. The PPT was significantly reduced among the geriatric patients vs. controls (p < 0.05), indicating a lower pain tolerance among the geriatric patients. Also, the elderly subjects had significantly higher depression scores than in control subjects (p < 0.05), indicating higher depression levels in geriatric group. In the geriatric group, except for the use of sleeping medication, all PSQI components and the total PSQI score showed a significant correlation with depression scores (p < 0.05), patients with higher depression levels have bad sleep quality. Conclusion: Our results showed decreased sleep quality, pain sensitivity and an increased depression among elderly subjects as compared to younger individuals. These findings indicate that decreased sleep quality is associated with both increased pain sensitivity and increased rates of depression.
目的:本研究的目的是评估睡眠质量对老年人疼痛敏感性和抑郁症状的影响。材料-方法:本横断面分析设计研究共纳入78例总体健康状况良好的患者(65-85岁)和44例年轻健康志愿者(30-50岁)。采用匹兹堡睡眠质量指数(PSQI)、疼痛压力阈值(PPT)和老年抑郁量表(GDS)进行评估。结果:老年组PSQI成分显著高于对照组(p < 0.05),提示老年组存在不良睡眠成分。与对照组相比,老年患者的疼痛耐受性显著降低(p < 0.05),表明老年患者的疼痛耐受性较低。老年组抑郁得分显著高于对照组(p < 0.05),表明老年组抑郁水平较高。在老年组中,除使用睡眠药物外,所有PSQI成分及PSQI总分均与抑郁评分呈显著相关(p < 0.05),抑郁水平越高的患者睡眠质量越差。结论:我们的研究结果表明,与年轻人相比,老年人的睡眠质量下降,疼痛敏感性下降,抑郁症增加。这些发现表明,睡眠质量下降与疼痛敏感性增加和抑郁症发病率增加有关。
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引用次数: 3
Factors Associating Perceived Stress and Psychological Well-being among Iranian Female Adolescents 伊朗女性青少年感知压力和心理健康相关因素
Pub Date : 2018-12-31 DOI: 10.23937/ijda-2017/1710003
Heizomi Haleh, Allahverdipour Hamid, Hejazi Shahrzad Bazargan, Jafarabadi Mohammad Asghari, Shirazi Anaheed
Aim: 1) To assess the role of life satisfaction, happiness, hopefulness, and self-efficacy, on perceived stress and PWB among a sample of female high school 9 th graders in Tabriz, Iran; 2) To assess direct and indirect relationships of life satisfaction, happiness, hopefulness, and self-efficacy with PWB in the sample, considering the mediator role of perceived stress under a conceptual model. Methods: This was a cross-sectional study of 289 random -ly-selected female 9 th -grader high school students in Tabriz, Iran, from 2013-2014. Trained study staff obtained consent and asked the participants to complete a self-administered validated questionnaire. Results: Among participants, 64.7% reported mental heal th problems and 74.3% reported high stress levels. In una djusted analyses, PWB was positively correlated with life satisfaction, happiness, hopefulness and self-efficacy, and it was negatively correlated with self-perceived stress (P < 0.01 for all correlations). In adjusted analyses, higher life satisfaction and lower stress levels were associated with better PWB (P < 0.001 for all associations). Higher levels of happiness and self-efficacy were associated with lower stress levels. Conclusions: PWB was influenced by a network of inter connected constructs including life satisfaction, happiness, self-efficacy, and stress. Further studies are needed to di sentangle the complex relationships within this network.
目的:1)探讨生活满意度、幸福感、希望感和自我效能感对伊朗大不里士高中女生压力感知和PWB的影响;2)在概念模型下考虑感知压力的中介作用,评估样本的生活满意度、幸福感、希望感和自我效能感与工作压力之间的直接和间接关系。方法:对2013-2014年伊朗大不里士市289名随机抽取的9年级女高中生进行横断面研究。训练有素的研究人员获得同意,并要求参与者完成一份自我管理的有效问卷。结果:64.7%的参与者报告心理健康问题,74.3%的参与者报告高压力水平。在单因素调整分析中,PWB与生活满意度、幸福感、希望感、自我效能感呈显著正相关,与自我感知压力呈显著负相关(P < 0.01)。在调整分析中,较高的生活满意度和较低的压力水平与较好的PWB相关(所有关联P < 0.001)。较高的幸福感和自我效能感与较低的压力水平相关。结论:幸福感受生活满意度、幸福感、自我效能感和压力等相互关联构念的影响。需要进一步的研究来解开这个网络中的复杂关系。
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引用次数: 2
Late - Life Depression in North Greece: Prevalence and under Detection 希腊北部的晚期抑郁症:患病率和检测不足
Pub Date : 2018-12-31 DOI: 10.23937/IJDA-2017/1710004
A. Konstantinos, Saropoulou Aikaterini, Jelastopulu Eleni
Depression is the most frequent cause of emotional suffering on late life. The purpose of the present study was to estimate the prevalence of depression and to assess possible under-diagnosis of depressive symptoms in the elderly. A cross-sectional study was conducted among the members of the open day care centers for older people in the municipality of Pella, North Greece. A questionnaire was developed to collect basic demographic data, including three questions from the “European Health Interview Survey”, regarding self-reported and/or by a physician diagnosed depression. Moreover, to all participants the Greek validated version of the Geriatric Depression Scale (GDS-15) was applied, to screen for depressive symptoms. A total of 241 individuals took part in the study. According to the GDS, 34.9% of the participants revealed having depressive symptoms, 27.5% moderate and 7.5% severe. Having ever been affected with chronic depression reported 30.4%, of them 68.4% had been diagnosed by a medical doctor and 20.8% had received medication. Of the 160 subjects who reported never been affected by a depression, 26.9% and 3.8% screened positive for moderate and severe depressive symptoms, respectively. In seven individuals who reported not to know if they have/had depression, depressive symptoms were observed in 85.7% applying the GDS-15. Depression in the elderly in North-Greece show a high prevalence and appears to be an under-diagnosed disease. The application of GDS-15 by general practitioners would increase their ability to detect and treat depression. RESEARch ARticlE
抑郁症是晚年情感痛苦最常见的原因。本研究的目的是估计抑郁症的患病率,并评估老年人抑郁症状可能的诊断不足。一项横断面研究是在希腊北部佩拉市的老年人开放日托中心的成员中进行的。制定了一份调查表,以收集基本人口数据,其中包括"欧洲健康访谈调查"中关于自我报告和/或由医生诊断的抑郁症的三个问题。此外,对所有参与者应用希腊验证版老年抑郁量表(GDS-15)来筛选抑郁症状。共有241人参加了这项研究。根据GDS, 34.9%的参与者有抑郁症状,27.5%为中度,7.5%为重度。30.4%的人曾患过慢性抑郁症,其中68.4%的人经医生诊断,20.8%的人接受过药物治疗。在报告从未受抑郁症影响的160名受试者中,分别有26.9%和3.8%的人在中度和重度抑郁症状筛查中呈阳性。在报告不知道自己是否患有抑郁症的7个人中,85.7%的人使用GDS-15观察到抑郁症状。希腊北部老年人的抑郁症发病率很高,似乎是一种诊断不足的疾病。全科医生使用GDS-15可以提高他们发现和治疗抑郁症的能力。研究文章
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引用次数: 4
Pseudodepression as an Anticipatory Symptom of Frontal Lobe Brain Tumors 假性抑郁是额叶脑肿瘤的先兆症状
Pub Date : 2018-12-31 DOI: 10.23937/IJDA-2017/1710007
Chirchiglia Domenico
Frontal brain tumors often cause psychiatric disorders re-lated to the functions of the prefrontal cortex. The prefrontal cortex expresses cognitive functions, which are supe-rior functions concerning personality, conception, planning, ability to manage social relations. The dorsolateral part of the prefrontal cortex, if damaged, causes a depressive symptomatology, consisting of apathy, mood reduction and other symptoms. Kleist defined depression secondary to brain tumors, pseudodepression syndrome. It is a rare con-dition associated to brain frontal tumors, the depression that occurs first and not vice versa. The reasons are not clear. However, it is important to control depressed patients over the years, they must perform neuroimaging tests, avoiding the late discovery of a brain frontal tumor.
额叶脑瘤常引起与前额皮质功能有关的精神障碍。前额叶皮层表达认知功能,这是关于人格、概念、计划、管理社会关系的能力的高级功能。前额叶皮层的背外侧部分如果受损,会引起抑郁症状,包括冷漠、情绪下降和其他症状。克莱斯特定义了继发于脑肿瘤的抑郁症,假性抑郁症综合征。这是一种与脑额叶肿瘤相关的罕见疾病,抑郁症首先发生,而不是相反。原因尚不清楚。然而,重要的是要控制抑郁症患者多年,他们必须进行神经影像学检查,避免后期发现脑额叶肿瘤。
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引用次数: 1
Implementing the Patient Health Questionnaire-9 (PHQ-9) to Identify and Refer Adults with Depression 实施患者健康问卷-9 (PHQ-9)来识别和转诊成人抑郁症
Pub Date : 1900-01-01 DOI: 10.23937/2643-4059/1710040
Brooks Shelia M.
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引用次数: 0
期刊
International Journal of Depression and Anxiety
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